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Crush Syndrome

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Crush Syndrome
This research paper was conducted around the topics of crush syndrome and amputation, which depending on the severity of the crush can coincide with one another. This paper will discuss various medical aspects, treatment, assessment, psychosocial/psychological issues and some research data pertaining earthquakes related to amputation and crush syndrome. Crush injuries can occur through the means of a natural disaster, acts of war, traffic collisions, as well as industrial accidents. Crush syndrome differs from a crush injury depending on the longevity of the prolonged and continuous pressure on the muscles and limbs. It is characterized by hypovolemic shock, which is an emergency condition in which severe blood and fluid loss make the heart unable to pump enough blood to the body. Crush syndrome is also characterized by hyperkalemia, acute renal failure and muscle necrosis (Donmez, D. Meral, A. Yavuz, M. Durmaz, O., 2001). A crush injury is the compression of extremities and body parts causing localized muscle and nerve damage. Crush syndrome is the presence of localized crush injury with systemic manifestations. The original cases of crush syndrome were reported during Sicilian earthquake in Messina in 1909, and in 1940 they reported that there was relationship between crush syndrome and acute renal failure (Donmez, D. Meral, A. Yavuz, M. Durmaz, O.,2001). With natural disasters on the rise and happening more frequently than in the past crush syndrome is a disability that has started to become more popular. There have been over 281 earthquakes that have occurred in 58 countries in the time span between 1996 and 2005 (Revati, P. Reinhardt, J. Marx, M., 2011). The amount of people injured far exceeds the people who have died. Many earthquakes are also happening in developing countries like Asia and Haiti. Medical treatment is hard to find when an earthquake strikes. Amputees created from the Haiti earthquake in 2010 are 110, 000 and is still growing to this


References: Alvaro, R. & Wald, J. (2004). Psychological Factors in Work-Related Amputation: Considerations for Rehabilitation Counselors.[Online] Journal of Falvo, D. R. (2009). Medical Psychosocial Aspects of Chronic Illness and Disability. (4th Ed) Boston: Jones and Bartlett Jagodzinski, A. N. Weerasinghe, & C. Porter, K. (2010). Crush injuries and crush syndrome-a review Kalemoglu, Murat, Keskin, Ozcan, Ersanli, Dilaver (2005). Analysis Of An Emergency Department’s Experience. [Online]. Internet Journal of Rescue & Disaster Medicine, 15312992 O’Keeffe, B. (2011). Prosthetic rehabilitation of the upper limb amputee. Indian Journal of Plastic Surgery, 44 (2), 246-252 Revati, P. Reinhardt, J. Marx, M. (2011). Injury epidemiology after the 2001 Gujarat earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster (2011). [Online]. Retrieved from Global Health Action Journal
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